Tendonitis/bursitis is typically “overuse” syndromes that can occur at various areas such as shoulder, elbow, hip, knee, or foot. Similar to other diagnoses, tendonitis/bursitis can be painful and debilitating so it is critical that specific, well designed treatment plan is followed. Cold laser, ultrasound, and electrical stimulation are utilized to reduce inflammation and promote tissue repair. Range of motion and flexibility exercises are performed to restore normal movement patterns. Strategic strength and conditioning are utilized to improve overall strength. Most importantly, manual techniques and taping techniques are applied to correct faulty joint mechanics. The final step is sports/work specific training to ensure safe return to activity. Patient education is utilized throughout the process to attack causative factors and prevent recurrence.
Sports Injuries Rehabilitation/Sports Specific Training
Sports specific training/rehabilitation refers to the ability to “bridge the gap” between regular rehabilitation and return to sports. This concept is the most critical aspect of sports medicine. All too often, an athlete is sent back to sports participation following simple exercises such as strength training and treadmill running. It’s our belief that lack of expertise in this area is a major reason for the unsatisfactory rate of re-injury in athletics. The final step in any rehab process must be specific activities to simulate the sport that the patient will be resuming. This includes sprinting, high speed agility drills, plyometics, and exact sports movements. This huge aspect of training is overlooked in most rehab centers. This is the reason that Jaeger Physical Therapy is set up as a sport training facility as well as a traditional clinic to bridge the all-important gap between regular rehab and return to sport.
The term sciatica refers to pain radiating into one or both lower extremities along the sciatic nerve distribution which is the posterior (back) and lateral aspect of the leg. Symptoms can extend all the way to the foot in some cases. Symptoms of sciatica can be severe and debilitating and are often affected by positions of our body (sitting vs. walking, etc.). Sciatica is truly a problem-solving diagnosis so it is critical to discover exactly which structure is causing the symptoms. Common causes of sciatica include herniated disc, stenosis caused by a variety of structures, adverse neural tissue tension, and myofascial pain syndrome. It can also be caused by a complex interaction of more than one factor so expertise in this area is critical to superior patient outcomes. This is the reason advanced post-graduate training such as McKenzie Certification is required for correct management of all spinal disorders.
Carpal Tunnel Syndrome
CTS is typically an overuse syndrome secondary to computer work or a trade such as carpentry. It is less commonly caused by trauma such as post wrist fracture whereby a boney abnormality can comprise the median, nerve as it transmits into the hand. The main diagnostic feature is symptoms in the first three fingers, especially at night. Treatment includes modalities to decrease inflammation, manual techniques to release pressure on the median nerve, neural stretching techniques, and workplace modifications when possible.
Balance & Vertibular Rehabilitation
Balance disorders are caused by a complex interaction of several factors. Physical therapy is typically provided in conjunction with primary medical management such as an ENT or neurologist. Emphasis of treatment includes managing concurrent orthopedic dysfunction such as cervical/disorders, general reconditioning, and exercises that train the vestibular system to adapt to position changes.
Arthritis is a common disorder affecting many adults, although severity is variable. Restoring normal range of motion and strength are emphasized but functional training is the most critical aspect of arthritis treatment. At Jaeger Physical Therapy, manual therapy and real life functional training are utilized to maximize functional outcome.
Sprains and strains are injury to a ligament or muscle usually caused by trauma such as a fall or sports injury. Initial management of these conditions is critical to minimize pain and swelling. Treatment includes modalities for pain and tissue repair such as cold laser, ultrasound, and electrical stimulation with ice. Manual techniques are important tools with sprains/strains to normalize joint mechanics and subsequent movement patterns. Various taping techniques such as Kinesio and McConnell taping to accelerate recovery. The final step of treatment is strengthening and sports-specific training.
Neck and Back Pain
Neck and back pain are the two most common areas of orthopedic dysfunction. Spinal pain can be caused by many factors including: trauma, overuse syndrome, structural derangements, and postural syndrome. The single most important factor in spinal care is problem-solving. The correct clinical diagnosis must be made in order to design an appropriate treatment plan. This process starts with a complete medical history and comprehensive physical exam. From there, appropriate physical agents, exercises, and manual techniques are utilized to correct the problem. Patient education is also a large part of treatment to prevent symptom recurrence.
Hip and knee replacements are most common with shoulder replacements gradually increasing as surgical techniques continue to evolve. Focus of treatment includes progressive range of motion and strengthening exercises, manual techniques to relieve soft tissue restrictions, and functional training such as gait and stair training. Emphasis here is to restore pain-free prior level of function.
All types of neurological conditions are treated at Jaeger Physical Therapy including Multiple Sclerosis, Parkinson’s disease and cerebrovascular accident (stroke). Treatment objective is to maximize functional ability, while minimizing pain. Balance and ambulation deficits are common problems so a major part of treatment is safety instructions for home and community. We believe that family involvement is a critical aspect of neurological rehabilitation so all family members are involved throughout the process.
Pre & Post Surgery Rehabilitation
Pre-op treatment is a critical part of surgical success, because it prepares the specific body part for the stress of surgery and the post-op course. It is critical to maximize range of motion and strength prior to surgery to create the best possible outcome. More and more surgeons are appreciating how important pre-operative care is to successful surgical outcomes. Post-operative care is a comprehensive approach to treatment that can apply to any body part. Common post-op conditions managed are: knee, shoulder, hip, neck, back, wrist and ankle. Various protocols are followed depending upon the specific procedure. We believe that open communication with the surgeon is critical to good outcomes. Accordingly, a patient’s surgeon is updated throughout the post-operative course.
Orthopedic Physical Therapy
The most common areas treated in orthopedics involve neck and back pain, shoulder upper extremity, hip, knee and hip dysfunction. Our treatment approach remains consistent with all conditions: manage pain, normalize range of motion and strength, and maximize functional ability.
Rotator Cuff & Labral Injury to the Shoulder
Proper shoulder function is a complex interaction of four joints and several muscle groups. It is an inherently unstable joint which allows excessive mobility at the expense of stability. The most critical muscle group to proper shoulder function is the four rotator cuff muscles. These muscles provide proximal stability and rotational movement to the shoulder. The labrum is a rim of fibro-cartilage that provides stability to the shoulder. Injury to both areas can occur from repeated overhead movement or from trauma such as a fall. Treatment of injury to the rotator cuff or labrum can be surgical or non-surgical. Which option to choose is affected by several factors such as severity of structural damage, age of the patient, and patient’s lifestyle/sport activity level. Post-operative and non-operative protocols are followed in conjunction with your physician to maximize functional outcome.
This condition is characterized by inflammation of the fibrous band on the bottom of the foot called the plantar fascia. The typical location of the pain is the medial aspect (inside) of the heel. It is most painful in the morning and upon rising from sitting. Plantar fascitis can be a chronic, extremely painful, debilitating condition. Manual techniques are critical to release tissue restrictions. Various taping techniques are also utilized to alter faulty foot mechanics.
Jaeger Physical Therapy & Sports Medicine
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